N.M. Stat. § 59A-23-12.1. Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions: Group and Blanket Health Insurance Contracts – New Mexico

Status: Enacted
Year Enacted: 2018
File: Download

Each group or blanket health insurance policy, health care plan and certificate of health insurance delivered or issued for delivery in this state that provides a prescription drug benefit for which any step therapy protocols are required shall establish clinical review criteria for those step therapy protocols.

Key Issues: Benefit Design Therapeutic Substitution PHARMACEUTICALS Biosimilar or Generic Competition PRICE AND QUALITY TRANSPARENCY Prior Authorization HEALTHCARE COSTS Drug Formulary HEALTHCARE MARKETS Cost Containment Provider Network

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N.M. Stat. § 59A-23-12.1. Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions: Group and Blanket Health Insurance Contracts – New Mexico

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